Revive Chiropractic Group, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVIVE CHIROPRACTIC GROUP, INC

Practice address

10530 Knott Ave
Stanton, CA 90680-1915

Phone

(714) 406-2092

Fax

(714) 839-8145

NPI assigned

Mar 16, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Vy, DC

Title

Tresurer

Phone

(714) 495-1100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Garcia, D.C.

  • Chiropractor
  • Anaheim, CA
  • NPI 1013515055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1255967758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 KNOTT AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906801915",
            "telephone_number": "714-406-2092",
            "fax_number": "714-839-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 KNOTT AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906801915",
            "telephone_number": "714-406-2092",
            "fax_number": "714-839-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CHIROPRACTIC GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "VY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "TRESURER",
        "authorized_official_telephone_number": "714-495-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ramos
• Melissa Anne Rees, RASI
• Johanna Regalado
• Relevant Home Health Services LLC
• Resilience Rising Behavioral Health
• Joseph A Reyes
• Judy Rivas
• Adrian Rodriguez
• Andrew Anthony Rodriguez
• Brittany Rodriguez

• Chiropractor in Stanton, CA
• Providers in Stanton, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.